Abstract
Objective: To review the clinical manifestations, diagnosis, and management of vestibular migraine (VM). Methods: Review of the literature. Results: Apart from headache, other symptoms of VM include unsteadiness, imbalance, and spontaneous as well as visual vertigo. Acute vestibular symptoms that qualify for VM must be of at least moderate or severe intensity which lasts within a time window of 5 minutes to 72 hours. The interindividual temporal association of headache and vertigo is highly variable in VM patients Grossly normal peripheral vestibular function and audiometry both during and between attacks distinguishes VM from its mimics. Treatment options for VM are mainly based on expert opinion and include lifestyle modifications, acute and prophylactic migraine pharmacotherapy, and vestibular rehabilitation therapy. Conclusion: Despite a lack of diagnostic biomarkers for VM, a meticulous workup is important to exclude alternative mimics. More longitudinal and treatment studies are required to help elucidate the prognosis and optimal management of this condition.
| Original language | English |
|---|---|
| Pages (from-to) | 457-468 |
| Number of pages | 12 |
| Journal | Journal of Clinical Outcomes Management |
| Volume | 22 |
| Issue number | 10 |
| Publication status | Published - 1 Oct 2015 |